FORM XIV C.F.X. [Rule 40 of Himachal Pradesh, Motor Vehicle Rule, 1991]. WITH REGARD TO CERTIFICATE OF FITNESS OF TRANSPORT VEHICLE Inspection Record "Registration Particulars" Note: - Detail will be entered after verification of the physical fitness of the vehicle with the particular rates in the certificate of registration. 1. Registration mark and class.......... 2. Make and Model......... 3. Date of original registration......... 4. Type of body.......... 5. Chassis No................ 6. Engine No........... 7. Wheel base............... 8. Seating capacity/R.L.W...... 9. No. and size of tyres........... (1) Front Axle........... (2) Rear Axle............ (3) Any other Axle......... 10. Number, date and validity of last certificate of fitness................... 11. Name and address of registered owner......................... 12. Particulars of owner remarks (Alteration of registration particular and connected matter)......................................... 13. Date of inspection................................. PART-II CURRENCY OF RECORDS Note: - Detail will be catered on a reference to the concerned documents. Period of validity of: - (a) Permit (b) Insurance (c) Vehicle tax (d) Passenger tax (e) Goods Tax PART-III CONDITION OF IMPORTANT UNITS AND SYSTEMS Note: - If the condition is satisfactory state "O.K." and if defective, state the defects in brief against each item. 1. Engine 2. Clutch 3. Gear Box 4. Propeller Shaft 5. Universal Joint 6. Differential 7. Road Wheels 8. Tyres 9. Chassis Frame 10. Front Axle 11. Rear Axle 12. F.A. Springs 13. R.A. Springs 14. Exhaust Pipes 15. Foot Brake and Serve Equipment 16. Hand Brake 17. Fuel System 18. Steering 19. Electrical System 20. Lights 21. Wind Screen wiper 22. Horn 23. Speedometer 24. Rear View Mirror 25. Instruments and Gauges 26. Paint Work 27. Upholstry cushions and curtains 28. Tool Box 29. Spare Wheel 30. Luggage carrier and Tarpaull 31. Taxi Meter (For Motor Cabs) 32. Body and Doors 33. Cat's eye reflectors. PART-IV GENERAL Note: -State Yes/No against each item. 1. Part B permit exhibited 2. Fare Table exhibited 3. Time Schedule exhibited 4. Blue paint of seating arrangements exhibited inside state carriage 5. Registration Marks exhibited properly 6. First Aid Box provided 7. Fire Extinguisher provided 8. Complaint Book provided 9. Particulars (weight, tyre size etc.) displayed on the left side of the body Certificate of fitness refused for the defects stated above and for the following reasons: - 1. Certificate of fitness has accordingly been impounded. 2. The vehicle may not be driven until the certificate of fitness is renewed except to such an extent as may be necessary in connection with the remedying of the defects and then carried for hire and reward other than goods required in connection with the repair of the vehicle. Certificate of fitness issued/renewed valid from ...........to .......... (vide No.....................) ________________________ Place............ Signature (Inspecting Officer) Date............. Name............ Designation........... (a) The applicant has produced the notification No. _____________________ issued by the Govt. of Himachal Pradesh/Central Government exempting the vehicle from the provisions regarding over all dimensions/weights. (b) The defect shown at item No. ___________________________in Part III have been rectified. ________________________ Place............ Signature (Inspecting Officer) Date............. Name............ Designation........... The Motor Vehicle complies with all the requirements of the Motor Vehicle Act, 1988 and the rules made there under. The certificate of fitness is hereby issued/renewed for a period of _______________months, valid from_________________ to __________________ ________________________ Place............ Signature (Inspecting Officer) Date............. Name............ Designation...........
